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2099527381 8-mileenginerring 08:33:56 a.m. 03-21-2008 2!3 <br /> APPLICATION FOp ENCROACffiKF.1+1'T' PERMIT <br /> PLEASE PRINT <br /> Date <br /> OFFIC3 USK ONLY <br /> To: San Joaquin County JOS # �` 5 <br /> Department of Public (forks JON R3F # <br /> CR # <br /> MCP. DAT$ <br /> (Applie'ant N ) VAL= `�'15-c1� TO j.. _� DRIVIVAXs <br /> / <br /> STREET <br /> ►SIT G/�'4 T <br /> AREA �� xV� * <br /> wOkil ago Address) 1'YPS LG fFOW /e # <br /> 77 <br /> NOTE <br /> (City. 8tetie,• Zip Code? --------------- <br /> (uea Coag Tel•phona bh�mbex) <br /> Fr,-'htailed plaits may be submitted) <br /> ---------------- <br /> otheThee =deersigned hereby appli4m for Permission to excavate, c txZact sad/or <br /> r ch oa C t Highway Right-af-W <br /> Phe 'side of <br /> of '_' approximat y ' of • t mile <br /> follow work (descript of k :_bY Performing the <br /> work wi commence on r about <br /> days. •for approximately <br /> r, the undersigned certif <br /> Y that I am the. owner of the <br /> qualified to represent respective property, or am <br /> the owner and agree to do the work described above in <br /> accordance with the rules, re <br /> inspectiou and approval, gulatia{�s of San Joaquin County and subject to <br /> $iguat a of llvpli - Titli <br /> Dates <br />